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NPI Code Detail

MEDICARE: KRISTA ROSE MARIE STANTON M.ED., BCBA

MEDICARE: KRISTA ROSE MARIE STANTON M.ED., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-22-58325

General Provider Information

NPI Number : 1376031377
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA ROSE MARIE STANTON M.ED., BCBA
Provider Business Mailing Address
First Line : 1532 ROSEWOOD LN
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3266
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 170 MEETING STREET
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-3153
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 01/21/2026

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